Full-Time

Behavioral Health Clinical Liaison

Roanoke Region

Posted on 9/20/2024

CVS Pharmacy

CVS Pharmacy

10,001+ employees

Retail pharmacy and healthcare services provider

Healthcare
Consumer Goods

Compensation Overview

$80.3k - $173kAnnually

+ Bonus + Commission + Short-term Incentive Program

Senior

Company Historically Provides H1B Sponsorship

Remote in USA

Must reside in Virginia in the Roanoke Region in specified counties.

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Required Skills
Management
Requirements
  • Must reside within the Roanoke Region.
  • One of the following licenses in the state of Virginia is required: LPC, LCSW, LMFT, BCBA, LBA, or an RN with 5+ years of behavioral health experience
  • 2+ years experience with delivery of community-based Medicaid behavioral health services
  • 5+ years clinical experience in behavioral health, mental health, psychiatric care
  • 2+ years’ experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)
  • If an LPC, LCSW, LMFT, BCBA, LBA, a Master’s degree in behavioral health field is required
  • If an RN, Bachelor's degree is required
Responsibilities
  • Clinically manage non-traditional mental health services and addiction recovery and treatment services through the utilization management process
  • Drives collaboration on quality of care, utilization management, disparities and care coordination to ensure optimal member outcomes.
  • Outreach to high utilizers to support treatment coordination, transitions of care, and appropriate discharge planning
  • Serve as the behavioral health subject matter expert to support care management staff in serving Aetna members in the respective region
  • Interface with community stakeholders to foster collaboration and provide education and training
  • Consults with Plan executive management regarding physical and behavioral health clinical issues as they relate to medical management (UM, CM, DM) provider and system of care issues, behavioral health and human services system issues
  • Supports and encourages CM and UM staff to function as interdisciplinary team, with requisite range and depth of subject matter expertise to meet the needs of the covered population.
  • Represents Plan to relevant external stakeholders, providers/vendors, & advocacy groups with regard to quality improvement initiatives, integrating member care, health plan success, and innovative care strategies.
  • Participate in interdisciplinary case rounds to address the needs of members with complex clinical presentations, identifies opportunities for improving rounds, and works with the clinical leadership team to optimize the value of rounds to the clinical staff.
  • Demonstrates knowledge about established and evolving biomedical, clinical, epidemiologic and social-behavioral sciences and the application of this knowledge to member care.- Participates/ supports process improvement initiatives within care management and across broader Plan operations.

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their pharmacies offer prescription medications, over-the-counter health products, beauty items, and general merchandise. CVS Health also includes a pharmacy benefits manager that serves over 75 million plan members and a senior pharmacy care business that assists more than one million patients each year. This integrated model allows CVS Health to deliver affordable health management solutions, improving access to quality care and health outcomes while aiming to reduce overall healthcare costs. Unlike many competitors, CVS Health combines retail pharmacy services with clinical care and pharmacy benefits management, making it a significant player in the healthcare sector with a goal of supporting individuals on their journey to better health.

Company Stage

Debt Financing

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

1963

Growth & Insights
Headcount

6 month growth

0%

1 year growth

0%

2 year growth

0%
Simplify Jobs

Simplify's Take

What believers are saying

  • Expansion of at-home health testing kits presents a significant growth opportunity for CVS.
  • Maintaining free cash-back services could differentiate CVS from other retailers.
  • Growing market for accessible hearing solutions offers CVS a chance to expand product offerings.

What critics are saying

  • At-home health tests may reduce in-store visits, impacting CVS's foot traffic.
  • Fees for cash-back transactions could lead to customer dissatisfaction if adopted by CVS.
  • Increased competition in OTC hearing aids may challenge CVS's market share.

What makes CVS Pharmacy unique

  • CVS offers a comprehensive range of health services and products under one roof.
  • The company has a strong pharmacy benefits management with over 75 million plan members.
  • CVS's extensive retail network includes 9,600 pharmacies and 1,100 walk-in clinics.

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